Individual
JAVIER GAMARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
628 N PUGSLEY ST, SALT LAKE CTY, UT 84103-1329
(385) 261-2171
Mailing address
1775 N MORTON DR, SALT LAKE CITY, UT 84116-4124
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13633606-6006
UT
101YM0800X
Mental Health Counselor
Primary
13633606-3502
UT
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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